Mu rwego rwo kuvugurura isura, kunoza byimazeyo agace kari munsi yijisho ryamye ari ikibazo cyibanze kubaganga nuburwayi bwiza. Amashashi munsi y'amaso, amarira, amarira ya malar, n'amatama agabanuka - ibi bimenyetso bine byo gusaza akenshi bifatanye, bigira ingaruka zikomeye kumiterere rusange yo mumaso no kugaragara mubusore. Muri ibyo, amarira y'amarira aragaragara cyane; igicucu cyavuyeho numunaniro ugaragara nibintu byingenzi bigira uruhare mubisaza. Iyi ngingo izacengera muburyo bwihariye amarira yamashanyarazi HA yuzuza ikibazo , gusesengura uburyo kuzuza amarira bishobora kugerwaho hamwe kuvugurura amaso no gushyigikirwa hagati, no gusuzuma ingaruka ndende zuzuza aside hyaluronic, igamije gutanga ibisobanuro kubikorwa byubuvuzi.
Inzitizi zidasanzwe hamwe nubwiza bwamarira
Amarira y'amarira yerekeza cyane cyane ku kwiheba guterwa na atrophy hamwe no kugabanuka kw'uturemangingo tworoshye ku nkombe yo hepfo ya septum ya orbital.Ahantu habo anatomique ubusanzwe itangirira ku mfuruka y'imbere y'ijisho, ikamanuka ikamanuka ikamanuka yerekeza ku gice kiri hagati y'amatama n'amazuru, akenshi bikamanuka munsi y’imifuka y'amaso. Isura yabo isobanura intege nke zububiko bwa periorbital, gutakaza ingirangingo zumubiri, nintangiriro yo kongera amagufwa. Ibi ntabwo byongera gusa kwibeshya kwa 'uruziga rwijimye ' ahubwo binabangamira ubworoherane nubukomezi bwo mumaso yo hagati binyuze mumucyo nigicucu.
Kuraho gusa imifuka yijisho udakosoye amarira amarira akenshi binanirwa kugera kubisubizo byiza byubuzima. Kubwibyo, intandaro ya an ingamba zuzuza amaso ni muburyo bwo gusuzuma neza: gutandukanya imifuka ya pseudo-ijisho (mubyukuri ni amarira yo kwiheba) hamwe namashashi yijisho ryukuri, no kumenya niba hariho guherekeza kugabanuka hagati yijwi ryo hagati no kugabanuka kwimitsi (nkumurongo wu Buhinde nu musaya ucuramye). Intsinzi kuvura amarira yuzuza imiti bigomba kurenga kwuzura kwaho, kwibanda ku kongera kubaka imiterere karemano yo hagati-yo hepfo no kugarura inkunga yo hagati.
Inyigo: Isesengura rirambuye ryamarira ya Hyaluronic Acide Yuzuza Urubanza Ibi ubushakashatsi bwamarira ya hyaluronic aside burimo umurwayi wumugore wimyaka 42 wibanze cyane kumunoza asa nunaniwe cyane. Isuzumabumenyi rya Clinical ryagaragaje: ihungabana rikomeye ry’ibice byombi (biringaniye), biherekejwe no gutakaza ijwi ryoroheje mu gitsike cyo hepfo no gusibanganya hakiri kare malar, hamwe no kugaragara kwambere kwizuru rya nasolabial. Uruhu rwarimeze neza, ntiruhungabana.
Intego zo kuvura zashyizweho ku buryo bukurikira:
1) Wuzuze neza kandi neza amarira amarira kugirango akureho igicucu cyarohamye;
2) Kugera ku kintu cyoroheje cyo guterura no gushyigikira binyuze muri micro-inshinge ahantu h'ingenzi mu maso hagati, kuzamura mu buryo butaziguye isura y’imitsi ya nasolabial;
3) Kugarura inzibacyuho yoroheje hagati yijisho ryo hepfo nu gice cyumusaya
Gahunda yo Kuvura no Gutoranya Ibikoresho: Nyuma yo kuganira neza, hatoranijwe biphasic ihuza aside hyaluronic yuzuza hamwe hamwe, hamwe na viscoelasticité igereranije, hamwe nubushobozi bwiza bwo gushyigikira. Ubu bwoko bwibicuruzwa burakwiriye cyane kuzuzwa neza kuri periosteum cyangwa mubice byimbitse bitewe nimiterere yabyo, bitanga inkunga ihamye mugihe bigabanya ingaruka zingaruka za Tyndall.
Isuzumabushobozi no Kwitegereza kuramba
Ingaruka Zihita kandi Zigihe gito (ibyumweru 1-2 nyuma yuburyo bukurikira): Ako kanya nyuma yuburyo buboneye, ihungabana ryamarira ryamarira ryarushijeho kuba ryiza, igicucu cyo munsi yijisho ryaragabanutse, kandi isura yumunaniro yagabanutse cyane. Kubyimba byoroheje byagabanutse mu minsi 3-5. Mu cyumweru kimwe cyakurikiranwe, ibisubizo byari bisanzwe, kandi abarwayi bagaragaje ko bishimiye ubworoherane bw’agace k’amaso yo hepfo hamwe n’ingaruka rusange 'yo guterura ' yo hagati. Bitewe n'ubujyakuzimu bwuzuye hamwe na dosiye igabanya ubukana, nta ngorane nko gukomeretsa, nodules, cyangwa ubusumbane bwabayeho.
Ingaruka z'igihe giciriritse (amezi 3-12 nyuma yuburyo bukurikira): Gukurikirana amezi 3, 6, na 12 byerekanaga ko ingaruka zuzuye zagumye zihamye. Ubushakashatsi bwakozwe muri aya marira ya hyaluronic aside yuzuza ubushakashatsi bwerekanye ko kunyurwa kwabarwayi byakomeje kuba hejuru muri iki gihe. Acide ya hyaluronike yatewe yinjizamo neza hamwe nuduce, ntabwo itanga ubufasha bwumubiri gusa ahubwo inateza imbere uruhu rwaho binyuze mu ngaruka zayo. Ingaruka yoroheje yo gushyigikira mumaso yo hagati yatumye imitsi ya nasolabial igaragara yoroshye, kandi imyanya yo mumatama ya chebbone yaratejwe imbere.
Isuzuma rirambye ryigihe kirekire (amezi 18-24 nyuma yuburyo bukurikira): Mugihe cyamezi 18 nyuma yuburyo bukurikira, nubwo zimwe mungaruka zuzuye zari zarahindutse, agace k'amosozi karacyafite leta yateye imbere cyane ugereranije na mbere yo kuvurwa, kandi muri rusange kontour 'kwibuka ' yarazigamwe. Mugihe cyamezi 24, ingaruka nyamukuru yo gushyigikira yari imaze gucika intege, ariko yari ikiri hejuru kurwego rwibanze. Uku kuramba kwitirirwa:
1. Gutera inshinge zimbitse: Subperiosteal / kuzuza ibice byimbitse bifite umuvuduko muke wa metabolike.
2 .
3 .
Kugereranya no Gushyira mu bikorwa: Ugereranije no kuzuza ibintu byoroheje byuzuye, iyi ngamba ihuriweho yibanda ku nkunga yimbitse hamwe no guhinduka hagati yerekana inyungu nziza mubijyanye no gukora neza, kuramba, na kamere. Ibi amarira ya acide hyaluronic acide nayo yemeza imikorere yigitekerezo cyo gutera inshinge za 'umubare muto, inshinge zimbitse, hamwe ninkunga nyinshi. '
Ikiganiro Cyagutse Kuzuza Amarira Yuzuye: Kugereranya nibindi bikoresho hamwe nuburyo Nubwo aside ya hyaluronike ari yo nzira nyamukuru yo guhitamo amarira yuzuye, ibindi bikoresho nka kolagen nabyo bifite ibyo basaba. Kolagen ifite ibinyabuzima bisa numubiri wumuntu, ifite biocompatibilité yo hejuru, yoroshye kuyikora, kandi irashobora gutuma habaho kuvugurura kwa endogenous collagen, itanga inyungu zinyongera mugutezimbere uruhu rwumurongo n'imirongo myiza. Nyamara, imbogamizi nyamukuru yacyo ni ukubura ingaruka zuzuye kandi zuzuye, no kudasubira inyuma. Ku marira amarira cyane cyane arangwa no gutakaza amajwi kandi bisaba guhita byoroha, aside hyaluronic ikomeza gukundwa munsi yijisho ryuzuza bitewe ningaruka zahanuwe kandi zishobora guhindurwa, bikemerera guhinduka neza kwa muganga.
Kubice byamarira bigoye biherekejwe no kunanirwa cyane kwuruhu cyangwa imifuka yijisho ryukuri, kuvura hamwe nuburyo bwiza. Ibi birashobora kubihuza no guhuza uruhu rwa radiofrequency kugirango urusheho kunoza uruhu, cyangwa gukoresha orbital septum yo kubaga kugirango usimbure amavuta yimifuka yijisho kugirango wuzuze amarira, ugere kuntego ebyiri icyarimwe. Muri iki gihe, kubera ko uruhu rw’umurwayi rwakomeje kwemerwa, inshinge imwe ya aside ya hyaluronike yageze ku bisubizo byifuzwa.
Umwanzuro Uru rubanza kuvugurura munsi y'amaso byerekana ko ingamba zihuriweho, zishingiye ku gutera inshinge zuzuye, zuzuye za hyaluronic zuzuza amarira mu marira, zongerwamo inshinge za mikorobe ahantu h'ingenzi mu maso, ni uburyo bwizewe kandi bwizewe bwo kugera ku buryo bunoze bwo kuvugurura amaso no mu maso hagati. Binyuze mu isesengura ryimbitse ryibi amarira y'amashanyarazi HA yuzuza ikibazo , hemejwe ko ubu buryo budatanga gusa gukosora byihuse kandi karemano gusa amarira yamenetse ahubwo binatanga iterambere rirambye mumezi 18-24 mugutanga inkunga yimbitse, muguhindura kuburyo butaziguye isura yimitsi ya nasolabial hamwe numusaya wa pome.
Kuzuza amarira yuzuye amarira birenze kure kuzuza umwobo; ni ubuhanzi bwuzuye busaba ubumenyi bwimbitse bwa anatomique, tekinike yo gutera inshinge, hamwe nicyerekezo cyiza cyiza. Abaganga bagomba gusuzuma neza itandukaniro rya buri murwayi, bagahitamo ibicuruzwa byuzuza, bagatanga neza dosiye ikwiye mubwimbitse, kandi bagahora bashira imbere umutekano, ibisubizo karemano, ningaruka ndende kugirango bagere kubuzima bushya.
